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Bypass risks!

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General fitness, health and nutrition
Published
18 August 2003
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20 August 2003
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rb
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  1. CHICAGO, Aug. 12 - More than one in 10 patients who underwent heart bypass
    operations were readmitted to a hospital within a month in a study published
    Tuesday, and researchers said among the risk factors were the surgeon's
    level
    of experience.

    Overall, 13 percent of the 16,000 people who underwent coronary artery
    bypass graft surgery in New York state in 1999 were readmitted to hospitals
    within a month due to complications from the operation, the study published
    in
    the Journal of the American Medical Association said. Nearly 3 percent of
    the
    readmitted patients died.
    Infections and heart failure accounted for nearly half the readmissions
    blamed on complications from bypass surgery, with older patients, women and
    blacks all at higher risk of being back in the hospital within 30 days.
    ''It was troubling to see that that high a percentage of patients did
    need to be readmitted for complications of surgery,'' said study author Dr.
    Edward Hannan of the University at Albany, State University of New York.
    ''These complications cost money to the hospitals and the health care
    system and certainly they cause a lot of harm to patients as well,'' he
    said.
    Hannan said the study's findings mirrored previous findings that showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and
    by surgeons who did more than 100 such operations annually.
    Refining these measures of effectiveness could help patients choose the
    best care and caregivers reduce readmission rates, he said.

  2. Quoted message said:

    From: "rb" [email hidden]
    Date: 8/17/2003 7:26 PM Pacific Standard Time
    Message-id: <[email hidden]>

    CHICAGO, Aug. 12 - More than one in 10 patients who underwent heart bypass
    operations were readmitted to a hospital within a month in a study published
    Tuesday, and researchers said among the risk factors were the surgeon's
    level
    of experience.

    Overall, 13 percent of the 16,000 people who underwent coronary artery
    bypass graft surgery in New York state in 1999 were readmitted to hospitals
    within a month due to complications from the operation, the study published
    in
    the Journal of the American Medical Association said. Nearly 3 percent of
    the
    readmitted patients died.
    Infections and heart failure accounted for nearly half the readmissions
    blamed on complications from bypass surgery, with older patients, women and
    blacks all at higher risk of being back in the hospital within 30 days.
    ''It was troubling to see that that high a percentage of patients did
    need to be readmitted for complications of surgery,'' said study author Dr.
    Edward Hannan of the University at Albany, State University of New York.
    ''These complications cost money to the hospitals and the health care
    system and certainly they cause a lot of harm to patients as well,'' he
    said.
    Hannan said the study's findings mirrored previous findings that showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and
    by surgeons who did more than 100 such operations annually.
    Refining these measures of effectiveness could help patients choose the
    best care and caregivers reduce readmission rates, he said.

    That's why chelation is preferred by many people. They are alive and well and
    telling others, while it is being suppressed by organized medicine.

    Jan

    The world is a dangerous place to live; not because of the people who are evil,
    but because of the people who don't do anything about it."
    Albert Einstein

  3. Quoted message said:

    Subject: Re: Bypass risks!
    From: [email hidden] (Jan)
    Date: 8/17/2003 8:51 PM Pacific Daylight Time
    Message-id: <[email hidden]>

    oh the tag team at work

    first to Janny

    Quoted message said:

    That's why chelation is preferred by many people. They are alive and well and
    telling others, while it is being suppressed by organized medicine.

    care to produce the angiographic proof that plaque regresses with chelation??

    course not..is none...

    just "actual experience" of nutcakes like you two

    hawki

  4. Quoted message said:

    Subject: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/17/2003 8:26 PM Pacific Daylight Time
    Message-id: <[email hidden]

    rubber brain...

    READ for comprehension

    Quoted message said:

    surgeon's
    level
    of experience.

    has NEVER been questioned!!!

    Quoted message said:

    showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and
    by surgeons who did more than 100 such operations annually.
    Refining these measures of effectiveness could help patients choose the

    Quoted message said:

    best care and caregivers reduce readmission rates, he said.

    welll....duh...would you take your car into a dealership that ONLY fixed say 1
    model like yours per month??

    well..you and Jan might

    anyone who has heart..or any complex surgery...at an institutution and by a
    surgeon who does 1 or some small number per week..month..etc...will OF COURSE
    have a higher % of complications...

    duhhhhhh

    yikes I wonder about your ability to understand math..statistics..let alone the
    anatomy and physiology of the body..

    yikes

    hawki

  5. "Hawki63" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Quoted message said:

    Subject: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/17/2003 8:26 PM Pacific Daylight Time
    Message-id: <[email hidden]

    rubber brain...

    READ for comprehension

    Quoted message said:

    surgeon's
    level
    of experience.

    has NEVER been questioned!!!

    Quoted message said:

    showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and
    by surgeons who did more than 100 such operations annually.
    Refining these measures of effectiveness could help patients choose the

    Quoted message said:

    best care and caregivers reduce readmission rates, he said.

    welll....duh...would you take your car into a dealership that ONLY fixed


    say 1

    Quoted message said:

    model like yours per month??

    well..you and Jan might

    anyone who has heart..or any complex surgery...at an institutution and by


    a

    Quoted message said:

    surgeon who does 1 or some small number per week..month..etc...will OF


    COURSE

    Quoted message said:

    have a higher % of complications...

    duhhhhhh

    yikes I wonder about your ability to understand math..statistics..let


    alone the

    Quoted message said:

    anatomy and physiology of the body..

    yikes

    Yikes yourself. Even the practised and experienced surgeons didn't come
    that way out of a box! They first had to practise surgery on some
    unfortunate one's to become experienced. So Maroon to you too. --rb

    Quoted message said:

    hawki

  6. Quoted message said:

    Subject: Re: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/17/2003 9:52 PM Pacific Daylight Time
    Message-id: <[email hidden]>

    Quoted message said:

    Yikes yourself. Even the practised and experienced surgeons didn't come
    that way out of a box! They first had to practise surgery on some
    unfortunate one's to become experienced. So Maroon to you too. --rb

    rubber brain

    cardiac surgeons do not operate in a vaccuum,,,nor open up on street corners
    ...eh..like a chelationist does

    so...a surgeon does NOT gain experience by "practicing" by himself..he goes
    into partnerships with very experienced surgeons....it takes two ya know..

    the "cite" you cited referred to places that do VERY VERY few cases per
    year....thus the top notch guys won't go there...

    also..as should be obvious,.,to anyone who knows what the inside of a hospital
    looks like....said hospital that does 100 cases ALSO cannot have a highly
    skilled and quick operating room staff...heart lung bypass techs and as
    important,,,nursing staff.....thus ....complications that CAN be quickly
    spotted and addressed at a hospital that does a LOT of procedures can be
    assessed promptly and treated promptly.....

    but then,,again..you do not have the knowledge base to have a clue as to what
    that article even meant,,did you???

    maroon

    hawki

  7. "Hawki63" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Quoted message said:

    Subject: Re: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/17/2003 9:52 PM Pacific Daylight Time
    Message-id: <[email hidden]>

    Quoted message said:

    Yikes yourself. Even the practised and experienced surgeons didn't come
    that way out of a box! They first had to practise surgery on some
    unfortunate one's to become experienced. So Maroon to you too. --rb

    rubber brain

    cardiac surgeons do not operate in a vaccuum,,,nor open up on street


    corners

    Quoted message said:

    ..eh..like a chelationist does

    so...a surgeon does NOT gain experience by "practicing" by himself..he


    goes

    Quoted message said:

    into partnerships with very experienced surgeons....it takes two ya


    know..

    Quoted message said:


    the "cite" you cited referred to places that do VERY VERY few cases per
    year....thus the top notch guys won't go there...

    also..as should be obvious,.,to anyone who knows what the inside of a


    hospital

    Quoted message said:

    looks like....said hospital that does 100 cases ALSO cannot have a highly
    skilled and quick operating room staff...heart lung bypass techs and as
    important,,,nursing staff.....thus ....complications that CAN be quickly
    spotted and addressed at a hospital that does a LOT of procedures can be
    assessed promptly and treated promptly.....

    but then,,again..you do not have the knowledge base to have a clue as to


    what

    Quoted message said:

    that article even meant,,did you???

    maroon

    You'll make excuses for your buddies won't you? --rb

    Quoted message said:

    hawki

  8. Hmmm,

    Better read this lot. 29 dead babies out of 53 operations. No, these
    Surgeons were not operating in a vacuum but rather hell bent on creating
    vacuums for the Parents.

    http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2001/06/12/ngmc12.xml

    Then stop and think about who had to stick their neck out in order to stop
    deaths from continuing. Read what happened to the "Whistle Blower" who was
    one of the good Doctors in the hospital. Poor guy, sent to exile in
    Australia. (The Poms have not changed the penalties much over 200 years)

    http://old.smh.com.au/news/0107/20/national/national12.html

    Please give us just one name of a Chelationist that has gone to this much
    trouble?
    This murky side of the Medical Industry gets what it deserves.. Don't you
    think ?

    Rod.

    "Hawki63" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Quoted message said:

    Subject: Re: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/17/2003 9:52 PM Pacific Daylight Time
    Message-id: <[email hidden]>

    Quoted message said:

    Yikes yourself. Even the practised and experienced surgeons didn't come
    that way out of a box! They first had to practise surgery on some
    unfortunate one's to become experienced. So Maroon to you too. --rb

    rubber brain

    cardiac surgeons do not operate in a vaccuum,,,nor open up on street


    corners

    Quoted message said:

    ..eh..like a chelationist does

    so...a surgeon does NOT gain experience by "practicing" by himself..he


    goes

    Quoted message said:

    into partnerships with very experienced surgeons....it takes two ya


    know..

    Quoted message said:


    the "cite" you cited referred to places that do VERY VERY few cases per
    year....thus the top notch guys won't go there...

    also..as should be obvious,.,to anyone who knows what the inside of a


    hospital

    Quoted message said:

    looks like....said hospital that does 100 cases ALSO cannot have a highly
    skilled and quick operating room staff...heart lung bypass techs and as
    important,,,nursing staff.....thus ....complications that CAN be quickly
    spotted and addressed at a hospital that does a LOT of procedures can be
    assessed promptly and treated promptly.....

    but then,,again..you do not have the knowledge base to have a clue as to


    what

    Quoted message said:

    that article even meant,,did you???

    maroon

    hawki

  9. rb said:

    Hannan said the study's findings mirrored previous findings that showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and by surgeons who did more than 100 such operations annually.

    Well DUH! If they are doing 2 or more a week, they have lots of
    experience. They stay in practice.

    It's like taking your car to a specialist in that brand, instead
    of taking it to a low-volume garage shop.

    Tsu

    --
    To doubt everything or to believe everything
    are two equally convenient solutions; both
    dispense with the necessity of reflection.
    - Jules Henri Poincaré

  10. Eric Bohlman said:

    The next step is to determine why female and black patients had worse
    outcomes. I'd think the first thing to look at would be co-morbidities,
    particularly type 2 diabetes (which is more common in people of other than
    European ancestry and while a significant factor in heart disease in men,
    is even more significant in women, who otherwise have fewer risk factors).

    And the blood pressure problems that are well-known to be more
    prevalent in black populations at every income level.

    Quoted message said:

    Note that the assertion that black and female bypass patients have worse
    outcomes due to co-morbidities is a testable hypothesis and therefore needs
    to be tested rather than just assumed.

    Quoted message said:

    If the test comes up negative, then
    you have to start looking at whether racism and sexism are leading to
    poorer care, among other things. Though you can't assume that "poorer
    care" means "poorer care *by* the surgical team; it could be poorer
    outpatient care, or poorer access to such care, in the years before the
    surgery, leading to worse disease at the time of the surgery.

    That was my thought: they were not referred at a uniformly early
    state of cardiac problems ... whether due to lack of access to
    care, or bias on the part of the screeners.

    Some of this could be checked by backtracking through the medical
    records, and by interviews with the patients and families.

    Tsu

    --
    To doubt everything or to believe everything
    are two equally convenient solutions; both
    dispense with the necessity of reflection.
    - Jules Henri Poincaré

  11. In article <[email hidden]>,

    (Jan) said:
    Quoted message said:

    From: "rb" [email hidden]
    Date: 8/17/2003 7:26 PM Pacific Standard Time
    Message-id: <[email hidden]>

    CHICAGO, Aug. 12 - More than one in 10 patients who underwent heart bypass
    operations were readmitted to a hospital within a month in a study published
    Tuesday, and researchers said among the risk factors were the surgeon's
    level
    of experience.

    Overall, 13 percent of the 16,000 people who underwent coronary artery
    bypass graft surgery in New York state in 1999 were readmitted to hospitals
    within a month due to complications from the operation, the study published
    in
    the Journal of the American Medical Association said. Nearly 3 percent of
    the
    readmitted patients died.
    Infections and heart failure accounted for nearly half the readmissions
    blamed on complications from bypass surgery, with older patients, women and
    blacks all at higher risk of being back in the hospital within 30 days.
    ''It was troubling to see that that high a percentage of patients did
    need to be readmitted for complications of surgery,'' said study author Dr.
    Edward Hannan of the University at Albany, State University of New York.
    ''These complications cost money to the hospitals and the health care
    system and certainly they cause a lot of harm to patients as well,'' he
    said.
    Hannan said the study's findings mirrored previous findings that showed
    improved outcomes when the surgery was performed at high-volume hospitals
    and
    by surgeons who did more than 100 such operations annually.
    Refining these measures of effectiveness could help patients choose the
    best care and caregivers reduce readmission rates, he said.

    That's why chelation is preferred by many people. They are alive and well and
    telling others, while it is being suppressed by organized medicine.

    Jan's definition of "suppressed": "Randomized double-blind scientific
    studies have failed to show a benefit for this therapy, contradicting
    *my* belief that there is a benefit from it."
    --
    Orac |"A statement of fact cannot be insolent."
    |
    |"If you cannot listen to the answers, why do you
    | inconvenience me with questions?"

    ----== Posted via Newsfeed.Com - Unlimited-Uncensored-Secure Usenet News==----
    http://www.newsfeed.com The #1 Newsgroup Service in the World! >100,000 Newsgroups
    ---= 19 East/West-Coast Specialized Servers - Total Privacy via Encryption =---

  12. "Mark Probert" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Rod said:

    Hmmm,

    Better read this lot. 29 dead babies out of 53 operations. No, these
    Surgeons were not operating in a vacuum but rather hell bent on creating
    vacuums for the Parents.


    http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2001/06/12/ngmc12.xml

    Quoted message said:
    Quoted message said:


    Then stop and think about who had to stick their neck out in order to


    stop

    Quoted message said:
    Quoted message said:

    deaths from continuing. Read what happened to the "Whistle Blower" who


    was

    Quoted message said:
    Quoted message said:

    one of the good Doctors in the hospital. Poor guy, sent to exile in
    Australia. (The Poms have not changed the penalties much over 200 years)

    http://old.smh.com.au/news/0107/20/national/national12.html

    Please give us just one name of a Chelationist that has gone to this


    much

    Quoted message said:
    Quoted message said:

    trouble?
    This murky side of the Medical Industry gets what it deserves.. Don't


    you

    Quoted message said:
    Quoted message said:

    think ?

    Actually no. The doctor who was responsible for the deaths should have
    had his licensed pull, period, at the very least. The response was,
    IMNSHO, grossly insufficient.

    As for chelationists, they get a free pass for the most part, since
    their damage does not come out until the patient goes for the big one,
    but was feeling good until then. The patient's estate may not realize
    what happened.

    Sad that.

    Can you name me any chelationist's who have been sued by their patient's
    family or even the patient him/herself? If chelation was such a scam you'd
    think there'd be lot's! --rb

    Quoted message said:
    Quoted message said:
  13. rb said:

    "Mark Probert" <[email hidden]> wrote in message
    news:[email hidden]...

    Quoted message said:
    Rod said:

    Hmmm,

    Better read this lot. 29 dead babies out of 53 operations. No, these
    Surgeons were not operating in a vacuum but rather hell bent on creating
    vacuums for the Parents.

    http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2001/06/12/ngmc12.xml

    Quoted message said:
    Quoted message said:

    Then stop and think about who had to stick their neck out in order to

    stop

    Quoted message said:
    Quoted message said:

    deaths from continuing. Read what happened to the "Whistle Blower" who

    was

    Quoted message said:
    Quoted message said:

    one of the good Doctors in the hospital. Poor guy, sent to exile in
    Australia. (The Poms have not changed the penalties much over 200 years)

    http://old.smh.com.au/news/0107/20/national/national12.html

    Please give us just one name of a Chelationist that has gone to this

    much

    Quoted message said:
    Quoted message said:

    trouble?
    This murky side of the Medical Industry gets what it deserves.. Don't

    you

    Quoted message said:
    Quoted message said:

    think ?

    Actually no. The doctor who was responsible for the deaths should have
    had his licensed pull, period, at the very least. The response was,
    IMNSHO, grossly insufficient.

    As for chelationists, they get a free pass for the most part, since
    their damage does not come out until the patient goes for the big one,
    but was feeling good until then. The patient's estate may not realize
    what happened.

    Sad that.

    Can you name me any chelationist's who have been sued by their patient's
    family or even the patient him/herself? If chelation was such a scam you'd
    think there'd be lot's! --rb

    The ones who died from TheBigOne do not sue, as they are no longer
    around. Those that 'feel better' do not realize tha tthey have been
    scammed until TheBigOne, and then they do not sue.

    Even those that realize that they have been scammed, are reluctant to
    sue, as they are often embarassed that they were so easily duped. This
    is common in cases of fraud.

    And, of course, the amounts are usually small enough that the cases go
    to small claims courts, wherein the cases do not make the newspapers, etc.

    Finally, chelationists are happy to not have the negative publicity and
    reach a settlement, thus avoiding bad press.

    And EAM (Evil Alternative Medicine) suppresses these cases to prevent
    people from hearing about it.

    I hope that clears up your confusion, but, I doubt it.

  14. Quoted message said:

    Subject: Re: Bypass risks!
    From: "rb" [email hidden]
    Date: 8/19/2003 12:11 AM Pacifi

    ehhh...rubber brains'

    again..since you know so little about psysiology....have any clue why said
    babies needed heart surgery???

    nah..how could you...

    children/babies ONLY have heart surgery to correct some anatomical defect...NOT
    CAD...plague

    thus the great chelation...even if it did work on CAD..would NOT worth a
    whit...

    as others have said..the guy was a problem with a knife...and deserved what he
    got...

    no correlation here...

    not that you would have noticed that

    sad that

    hawki

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